Chartered Medical Accountants for the Whole Healthcare Sector
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We help online coaches and advisors with accurate cloud-based accounting support.
Tax planning for doctors and medical professionals with different sources of income and professional expenses.
Pension input calculations, tapered Annual Allowance checks and Scheme Pays advice, based on NHS Pension Scheme guidance.
Accurate bookkeeping for medical professionals, practices and businesses.
Payroll for clinical and admin staff, locum payments, statutory pay and pension auto-enrolment filed on time each month.
Most medical care is VAT exempt but cosmetic treatment, dispensing and product sales are not. We handle partial exemption calculations properly.
Medical professionals often deal with income and expenses that behave quite differently from a standard salary, and keeping on top of the paperwork can be difficult alongside clinical work. Some of the common areas we help with include:
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Support typically covers bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll and tax planning, with medical practice accounting and VAT assistance where these are relevant. Because medical professionals work in different ways, the exact services are agreed around your income sources and business structure. Not every client needs every service, so the scope is set out clearly before work begins.
They suit doctors, GPs, medical consultants, locum doctors, private practitioners and the owners of medical practices or clinics. Whether you are employed, self-employed or running a limited company alongside NHS work, the accounting requirements differ and the support is adapted accordingly. If your income comes from several sources, that mix is factored into how records and returns are prepared.
NHS income, private fees and locum earnings can be taxed and reported in different ways, so we look at each source separately before bringing them together. Records are organised so that it is clear where income has come from and how it should be treated. The correct treatment can depend on your individual circumstances, and we explain the position in plain terms.
Yes, Self Assessment support covers locum shifts, consultancy work, private fees and other self-employed income, including the expenses connected to them. We help you keep the records needed to complete the return accurately and to meet the filing and payment deadlines. Any relief or expense treatment depends on your own circumstances and is reviewed on that basis.
Expenses such as medical indemnity cover, professional subscriptions, training and certain travel costs are commonly reviewed when preparing accounts. Whether a particular cost is allowable depends on the reason for it, your working arrangements and the relevant rules at the time. We look at each item on its own merits rather than applying a blanket approach.
Many medical practices benefit from regular bookkeeping and payroll, particularly where there are employed staff, locum payments or a mixture of NHS and private billing. Keeping records up to date through the year makes annual accounts and any VAT work far easier to manage. The level of support can be scaled to the size and structure of the practice.
VAT can be relevant to some private medical services and to certain supplies made by a practice, although the position depends on what is being provided and to whom. Registration thresholds and the treatment of specific services need to be considered individually. We can review your situation and explain whether registration or VAT accounting applies to you.
Yes, changing accountants mid-year is usually straightforward and we can handle the handover with your previous adviser. We request the relevant records and bring the bookkeeping up to date so there is no gap in your accounts or filings. Once everything is in place, ongoing support continues from wherever your records currently stand.
